Osprey Housing - Authorised Nominee Form
Dear Tenant
The completion of this form allows a person, authorised by you, to deal with your tenancy queries (including your rent account) on your behalf. Should you have any queries or require assistance to complete this form, please contact our office on telephone 01224 548000.
Tenant Name
*
First Name
Last Name
Phone Number
*
Format: 00000 000000.
Email
example@example.com
Address
*
Street Address
Address Line 2
County
State / Province
Postcode
Tenant Signature
*
I authorise Osprey Housing to release information pertaining to my tenancy/application to:-
Nominees Name
*
First Name
Last Name
Relationship to you
*
Nominee Home Address (if applicable)
*
Street Address
Address Line 2
Town
State / Province
Postcode
Nominee Email Address
example@example.com
Nominee Contact Number
*
Format: 00000 000000.
Please select your Housing Officer
Catriona Leggat
Elaine Bowie
Elaine Sutherland
Gavin Farquhar
Jamie Brown
Laura Downing
Leisha Bishop
Megan Beattie
Rhiannon Garbutt
Date of submission
-
Day
-
Month
Year
Date
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
:
Hour
00
10
20
30
40
50
Minutes
Signature of Nominee
*
Submit
Should be Empty: